Pacific Coast Psychiatric Associates Inc
NPI 1023125465ActiveOrganization· Psychologist, Clinical· Scottsdale, AZ
Psychologist, Clinical in Scottsdale, Arizona, registered in NPPES in August 2006. The authorized official on file is Ryan Pardo, Chief Legal Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1023125465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2006 |
| Last updated in NPPES | Oct 16, 2025 |
| Certified by provider | Oct 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (NV) |
|---|
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